Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Essen Medical Associates, PC

Essen Medical Associates, PC was paid $37.33M by Medicaid between Jan 2018 and Dec 2024, across 236 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.

33Billing provider infoESSEN MEDICAL ASSOCIATES, PC
BRONX, NY 10453
33aNPI1366418709assigned 02/26/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$37.33M
24GClaims701,301
24DCodes billed236
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in New York

Rank by total paid#1 of 1,568
Median peer was paid$5K
This provider vs. median6,898×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201860,661$2.76M
201972,546$2.74M
202078,406$3.27M
2021114,772$5.36M
2022128,305$6.97M
2023143,169$8.65M
2024incomplete103,442$7.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 110,646 97,579 $6.05M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15% 71,105 63,254 $5.61M
99442 7.5% 53,164 48,247 $2.81M
99443 5.4% 24,749 22,628 $2.02M
93922 3.4% 9,637 9,476 $1.25M
99490 Ccm add 20min 3.0% 35,758 35,699 $1.13M
36465 3.0% 1,283 821 $1.12M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.8% 24,176 11,339 $1.05M
99308 Subsequent nursing facility care, per day, straightforward 2.7% 19,412 6,469 $1.00M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.7% 8,600 8,359 $1.00M
95923 2.6% 10,304 10,297 $988K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 10,416 10,229 $844K
224 more codes
99309 Subsequent nursing facility care, per day, low to moderate complexity 2.2% 11,695 $806K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.0% 21,477 $734K
93925 1.9% 3,896 $723K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 4,314 $696K
95921 1.7% 9,526 $631K
93970 1.6% 4,319 $607K
99441 1.4% 15,042 $524K
90834 Psychotherapy session, about 45 minutes 1.3% 7,236 $481K
93923 1.2% 3,970 $435K
90791 Psychiatric diagnostic evaluation <1% 3,457 $354K
99401 <1% 16,891 $343K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 4,162 $339K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,721 $329K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 10,323 $320K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,908 $286K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 4,292 $279K
92250 <1% 6,685 $268K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,921 $263K
99385 <1% 2,479 $242K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 6,733 $221K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 767 $212K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 6,329 $204K
99386 <1% 1,485 $170K
93924 <1% 1,208 $153K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 693 $145K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 5,928 $133K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 13,202 $126K
93971 <1% 1,258 $115K
99306 Prolong nursin fac eval 15m <1% 826 $98K
76830 Ultrasound, transvaginal <1% 1,004 $92K
95911 <1% 606 $91K
J2785 Injection, regadenoson, 0.1 mg <1% 416 $82K
95886 <1% 574 $82K
97162 <1% 1,677 $81K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,826 $77K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 9,123 $76K
99243 <1% 713 $73K
97032 <1% 14,158 $71K
11721 <1% 2,255 $65K
93975 <1% 290 $64K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,743 $63K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,688 $56K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 855 $50K
93000 <1% 3,621 $50K
92015 Determination of refractive state <1% 9,776 $45K
93015 <1% 843 $43K
92133 <1% 1,444 $40K
97161 <1% 826 $39K
11755 <1% 406 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 2,041 $33K
77067 Screening mammography, bilateral, including computer-aided detection <1% 333 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 559 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 390 $32K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 116 $32K
90756 <1% 2,559 $30K
93880 <1% 226 $30K
99215 Doctor's office visit, returning patient (complex) <1% 245 $28K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 889 $26K
92083 <1% 564 $24K
93351 <1% 142 $24K
99254 <1% 176 $23K
70551 Magnetic resonance imaging, brain; without contrast material <1% 84 $20K
93356 <1% 1,098 $19K
V5008 Hearing screening <1% 883 $18K
92557 <1% 701 $18K
36415 Collection of venous blood by venipuncture <1% 9,226 $18K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 308 $18K
99205 Prolong outpt/office vis <1% 132 $17K
81025 <1% 4,200 $17K
92134 <1% 536 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,074 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 313 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 125 $15K
77063 Screening digital breast tomosynthesis, bilateral <1% 330 $13K
76641 <1% 139 $13K
93040 <1% 2,637 $13K
99232 Hospital visit by a doctor, follow-up day <1% 279 $13K
99307 <1% 386 $13K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 140 $13K
90837 Psychotherapy session, about an hour <1% 176 $13K
99253 <1% 159 $12K
98960 <1% 436 $12K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 43 $11K
A4556 Electrodes, (e.g., apnea monitor), per pair <1% 1,678 $10K
99406 <1% 1,312 $10K
99457 <1% 662 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 70 $8K
97803 <1% 653 $8K
J1756 Injection, iron sucrose, 1 mg <1% 581 $8K
97802 <1% 409 $8K
92020 <1% 397 $7K
76536 <1% 77 $7K
95819 <1% 17 $6K
71271 <1% 52 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 649 $6K
76942 <1% 110 $6K
31231 <1% 33 $6K
93272 <1% 227 $5K
90472 Immunization administration, each additional vaccine (list separately) <1% 265 $5K
97164 <1% 194 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 97 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 38 $5K
90461 <1% 140 $5K
92132 <1% 172 $4K
99245 <1% 25 $4K
71046 Radiologic examination, chest; 2 views <1% 150 $4K
99454 <1% 188 $4K
93270 <1% 491 $4K
73630 <1% 139 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 810 $3K
93320 <1% 78 $3K
73560 <1% 115 $3K
99383 <1% 37 $3K
31575 <1% 33 $3K
94060 <1% 63 $3K
76377 <1% 64 $3K
S9451 Exercise classes, non-physician provider, per session <1% 672 $3K
99310 Prolong nursin fac eval 15m <1% 21 $3K
99423 <1% 65 $3K
92202 <1% 197 $2K
99497 <1% 114 $2K
94621 <1% 25 $2K
92201 <1% 102 $2K
93325 <1% 95 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 89 $2K
94010 <1% 94 $2K
90658 <1% 167 $2K
99252 <1% 52 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $2K
99316 <1% 24 $2K
93350 <1% 12 $2K
90836 <1% 41 $2K
99384 <1% 24 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 12 $2K
95800 <1% 69 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 82 $2K
99397 <1% 15 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 149 $1K
99458 <1% 83 $1K
99382 <1% 13 $1K
99459 <1% 61 $1K
57150 <1% 28 $1K
99402 <1% 38 $1K
72100 <1% 34 $1K
S9452 Nutrition classes, non-physician provider, per session <1% 126 $933.80
99305 <1% 12 $929.82
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) <1% 14 $916.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 170 $908.60
94726 <1% 27 $886.66
1126F <1% 442 $838.31
82947 <1% 232 $804.04
99422 <1% 61 $795.85
96127 <1% 245 $794.47
94760 <1% 404 $696.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 227 $686.18
76775 <1% 13 $666.38
20610 <1% 12 $648.58
99051 <1% 202 $647.53
90674 <1% 26 $586.70
36410 <1% 83 $499.09
73030 <1% 15 $482.46
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12 $458.13
90651 <1% 25 $411.04
99173 <1% 520 $398.80
99421 <1% 49 $397.08
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 26 $380.34
3078F <1% 2,175 $374.97
99348 <1% 27 $370.87
11720 <1% 26 $351.94
1125F <1% 363 $336.10
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 9,648 $336.01
3074F <1% 2,511 $296.00
1111F <1% 654 $286.06
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 31 $252.13
Q3014 Telehealth originating site facility fee <1% 44 $234.74
G8783 Normal blood pressure reading documented, follow-up not required <1% 3,133 $177.63
1036F <1% 1,739 $176.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 831 $163.54
G0008 Administration of influenza virus vaccine <1% 13 $154.57
J1245 Injection, dipyridamole, per 10 mg <1% 58 $152.72
92567 <1% 13 $135.36
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 147 $102.89
2000F <1% 692 $102.89
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 19 $85.74
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 12 $63.54
92551 <1% 23 $63.28
94761 <1% 102 $59.50
83986 <1% 37 $57.46
97010 <1% 305 $50.94
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 3,543 $47.25
G9744 Patient not eligible due to active diagnosis of hypertension <1% 15 $45.50
81002 <1% 12 $22.79
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) <1% 43 $14.00
99072 <1% 3,117 $11.25
G8752 Most recent systolic blood pressure < 140 mmhg <1% 45 $1.75
1159F 0% 2,591 $0.00
99499 0% 1,641 $0.00
3077F 0% 495 $0.00
1160F 0% 1,976 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 44 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 238 $0.00
3725F 0% 191 $0.00
G8482 Influenza immunization administered or previously received 0% 48 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 87 $0.00
4004F 0% 18 $0.00
3046F 0% 18 $0.00
3051F 0% 14 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 700 $0.00
3080F 0% 219 $0.00
3075F 0% 396 $0.00
2010F 0% 197 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 0% 184 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 575 $0.00
90686 0% 12 $0.00
3079F 0% 962 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 673 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 278 $0.00
3008F 0% 265 $0.00
0001F 0% 19 $0.00
2023F 0% 66 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 41 $0.00
3044F 0% 109 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 13 $0.00
3017F 0% 12 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSAHGAL, SUMIR (OWNER OF CORP)
Same official

Other billing entities under SAHGAL, SUMIR

Full network →
ProviderLocationPaid
Essen Medical Urgicare, PLLCBronx, NY$41.90M
House Call Medical Services of New York, PLLCBronx, NY$3.53M
Bronx Medical Practice P.C.Bronx, NY$712K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.